My HBAC client is 40+2 and was sent to the hospital today for a check up as baby's HR was too fast. Baby is no longer engaged either. Mum is distraught as she was hoping her deep pelvic pain was baby engaged and grinding!
At the hospital she was not scanned or given a CTG.
They used a Doppler again to hear HR, got confused as found hers first, racing away with white coat syndrome but did find baby's to be high.
Consultant recommended that, as bump was so big and she is fairly petite, baby is pretty big and her chances of VBAC are less than 50%. HB is now considered 'unsafe' for her. I forgot to ask if she managed to keep off the bed for the Doppler....
I went over her options with her i.e. elCS, careful induction (previous induction was horrendous experience which also traumatised her dh) with possibility of CS early rather than later if not going to plan, asking about Propess or Foley Catheter for cervical ripening, or waiting with Expectant Management and making decisions according to findings. I told her to listen to instinct and to consider how she would feel after the event of all her options.
I also suggsted she might like to ask to speak about her options at the hospital again, maybe insisting on CTG and scan and further explanation of her induction options in case she wants to take the chance...
I reminded her that she will make the best decision under the circumstances with the information available so not to feel that she would let anyone down. Baby's HR has really freaked her so I suggested 'talking' to baby, getting massive TLC from dh and resting while they consider all the options and make their decision.
I'm sad for her that she might lose her carefully planned HBAC, she's terrified of the hospital. What do you think of this situation?
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Childbirth
Midwives, Doulas please, your opinions....
9 replies
Klaw · 08/10/2007 23:40
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